Displaying 41 - 60 of 495
Contract Number Brand Code Drug LAgent Code Drug Contract Start Date Drug Contract End Date Formulary Category Package Size Protocol Monthly Max Package Price Contract Changed Change Date
40 5842BP APO-LISINOPRIL 20MG TAB (APO/COL) COL 2022-05-23 2024-03-31 A 100'S 60 8.15 Add to Contract as Cat A 2022-05-23
40 5843DF APO-RAMIPRIL 2.5MG CAP (APO/COL) COL 2022-07-27 2024-03-31 A 3X10 30 2.15 Price Change 2022-07-26
40 5281BV APROCIN 0.3% EYE DR (ARP/AHI) CIPROFLOXACIN AHI 2022-04-01 2022-09-30 BH 10ML 0 8.15 2022-03-29
40 1421CF ARAMOL 500MG TAB (CAR/COL) PARACETAMOL COL 2022-06-30 2024-03-31 A 500'S 180 14.78 Add to Contract as Cat A 2022-06-30
40 A3939 AROFLO 125MCG | 25MCG INHR (ARP/AHI) FLUTICASON AHI 2022-04-01 2022-06-30 A 120 DOSES 1 21.67 2022-03-29
40 A396A AROFLO 250MCG | 25MCG INHR (ARP/AHI) FLUTICASON AHI 2022-04-01 2022-06-30 A 120 DOSES 1 32.27 2022-03-29
40 13028 ASPIRIN DISPERSIBLE 300MG TAB (ACD/AHI) AHI 2022-04-01 2024-03-31 A 32'S 30 8.15 Add to Contract as Cat A 2022-03-11
40 1306AS ASPIRIN E.C. 81MG TAB (REL/PHA) PHA 2022-04-01 2022-07-18 A 1000'S 60 25.50 Price Change 2021-11-10
40 1306AS ASPIRIN E.C. 81MG TAB (REL/PHA) PHA 2022-07-19 2024-03-31 A 1000'S 60 20.97 Price Change 2022-07-18
40 1132GU ATORVASTATIN 20MG TAB (UME/AHI) AHI 2022-04-01 2022-10-19 A 3X10 30 4.65 Delete from contract 2022-09-07
40 1132GU ATORVASTATIN 20MG TAB (UME/AHI) AHI 2023-03-20 2024-03-31 A 3X10 30 1.74 Add to Contract as Cat A 2023-01-12
40 1133DC ATORVASTATIN 40MG TAB (FSB/ATB) ATB 2022-04-01 2023-03-31 A 10X10 60 10.75 2022-03-30
40 07229 AVEXA 30MG TAB (MBL/AHI) DEFLAZACORT AHI 2022-04-01 2024-03-31 C 1X10 0 29.00 Add to Contract as Cat C 2022-03-10
40 0131CW AZITHROMYCIN 40MG/ML SUSP (KWA/ATB) ATB 2022-04-01 2022-09-30 A 15ML 30 4.76 2022-03-30
40 4021C AZITHROMYCIN 500MG INJ (DIL/AHI) AHI 2022-04-01 2022-09-30 BQ 10X500MG 0 403.83 2022-03-29
40 0141GX AZITHROMYCIN 500MG TAB (FSB/ATB) ATB 2022-04-01 2024-03-31 A 30'S 7 13.65 Add to Contract as Cat A 2022-03-21
40 0141GZ AZITHROMYCIN 500MG TAB (FSB/ATB) ATB 2022-04-19 2024-03-31 A 100'S 7 43.68 Add to Contract as Cat A 2022-04-19
40 0314L BACTIGRAS 10CMX10CM (SMN/IMS) CHLORHEXIDINE IMS 2022-04-06 2024-03-31 A 10'S 10 29.00 Add to Contract as Cat A 2022-04-06
40 4253U BANEOCIN 250IU | 5MG OINT (BCH/COL) BACITRACIN | NEOMYCIN COL 2022-04-01 2022-05-24 A 20G 2 5.25 Delete from contract 2022-04-12
40 15029 BARBIFED 30MG TAB (FED/ATB) PHENOBARBITONE ATB 2022-05-11 2024-03-31 A 500'S 180 22.75 Change Local Agent 2022-05-11